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Research Integrity

IACUC Application Forms


IACUC Application for Animal Use, fillable form:

To open this form on your computer, please choose one of the following options depending on whether you use a PC or Mac:
On a PC, the following form works best using Internet Explorer to open IACUC application form PDF. If you prefer using Google Chrome or Firefox, make sure to use the following instructions found here.
On a Mac, in Google Chrome or Firefox choose IACUC application form ZIP to download form.

Note: All animal use is captured on the same protocol form. There are no longer different applications for Fish Use or Breeding.
Note: All appendices necessary for each application are embedded in the form itself. Please see section A.9 entitled Supplemental Sections Included in this Application. Check the appropriate box(es) next to the appendix necessary for your study and the appendix will automatically be added to the end of the form.
Note: A separate Section G: Personnel Qualifications Form is required for each person listed as project personnel in section A.4. A link for section G can be found at the beginning of Section A.9 and saved separately for each person.

Section G: Personnel Qualifications Form, fillable form:

To open this form on your computer, please choose one of the following options depending on whether you use a PC or Mac:
On a PC, the following form works best using Internet Explorer to open Section G form PDF. If you prefer using Google Chrome or Firefox, make sure to use the following instructions found here.
On a Mac, in Google Chrome or Firefox choose Section G form ZIP to download form.

When submitting your animal use application for consideration, please follow these steps:
  1. Please send the completed application to the IACUC office, Dana Mulvaney or Kristen Ware.
  2. A pre-review of the protocol will be completed and an email requesting clarifications may be sent to the PI. If applicable, all permits should be submitted at the same time as the protocol. Additionally, if the project is funded, a scope of work from the proposal should be submitted as well.
  3. The revised protocol will be returned to the IACUC office and assigned to either Designated Member Review (DMR) or Full Committee Review based on the potential for pain and/or distress (assigned by USDA pain category).
  4. Veterinary Review will be completed at the same time as the protocol review *.
  5. Once the IACUC review has been completed, an email will be sent to the PI requesting further clarifications or an approval letter will be sent.
*Note: Please do not send your protocol for veterinary review first. Veterinary review will be completed concurrently with IACUC review. If you need assistance with veterinary related care as you develop your protocol, however, do not hesitate to contact Dr. Sylvia Gografe or Dr. Annie Page-Karjian for assistance.

IACUC Protocol Amendment Form, fillable form:

To open this form on your computer, please choose one of the following options depending on whether you use a PC or Mac:
On a PC, the following form works best using Internet Explorer to open IACUC Protocol Amendment form PDF. If you prefer using Google Chrome or Firefox, make sure to use the following instructions found here.
On a Mac, in Google Chrome or Firefox choose IACUC Protocol Amendment form ZIP to download form.

Note: To add personnel to your protocol, please fill in the form and attach a copy of Section G (see above) for each individual listed on the amendment.

Additional Forms



 Last Modified 3/15/17